Healthcare Provider Details

I. General information

NPI: 1750434908
Provider Name (Legal Business Name): VALLEY VIEW WELLNESS MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12495 VALLEY VIEW ST
GARDEN GROVE CA
92845-2032
US

IV. Provider business mailing address

12495 VALLEY VIEW ST
GARDEN GROVE CA
92845-2032
US

V. Phone/Fax

Practice location:
  • Phone: 714-897-9355
  • Fax:
Mailing address:
  • Phone: 714-897-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL Z KURTZ
Title or Position: MEDICAL DIRECTOR
Credential: D.O.
Phone: 714-897-9355